Early Mobilization is Safe after Renal Trauma: A Multicenter Study

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) II1 Apr 2017PD63-08 EARLY MOBILIZATION IS SAFE AFTER RENAL TRAUMA : A MULTICENTER STUDY benoit peyronnet, jonathan olivier, marine hutin, francois-xavier nouhaud, quentin langouet, marina ruggiero, ines dominique, lucas freton, clémentine millet, sebastien bergerat, paul panayotopoulos, reem betari, xavier matillon, ala chebbi, thomas caes, pierre-marie patard, nicolas szabla, nicolas brichart, axelle bohem, laura sabourin, kerem guleryuz, charles dariane, cedric lebacle, jerome rizk, alexandre gryn, xavier rod, francois-xavier madec, gaelle fiard, and benjamin pradére benoit peyronnetbenoit peyronnet More articles by this author , jonathan olivierjonathan olivier More articles by this author , marine hutinmarine hutin More articles by this author , francois-xavier nouhaudfrancois-xavier nouhaud More articles by this author , quentin langouetquentin langouet More articles by this author , marina ruggieromarina ruggiero More articles by this author , ines dominiqueines dominique More articles by this author , lucas fretonlucas freton More articles by this author , clémentine milletclémentine millet More articles by this author , sebastien bergeratsebastien bergerat More articles by this author , paul panayotopoulospaul panayotopoulos More articles by this author , reem betarireem betari More articles by this author , xavier matillonxavier matillon More articles by this author , ala chebbiala chebbi More articles by this author , thomas caesthomas caes More articles by this author , pierre-marie patardpierre-marie patard More articles by this author , nicolas szablanicolas szabla More articles by this author , nicolas brichartnicolas brichart More articles by this author , axelle bohemaxelle bohem More articles by this author , laura sabourinlaura sabourin More articles by this author , kerem guleryuzkerem guleryuz More articles by this author , charles darianecharles dariane More articles by this author , cedric lebaclecedric lebacle More articles by this author , jerome rizkjerome rizk More articles by this author , alexandre grynalexandre gryn More articles by this author , xavier rodxavier rod More articles by this author , francois-xavier madecfrancois-xavier madec More articles by this author , gaelle fiardgaelle fiard More articles by this author , and benjamin pradérebenjamin pradére More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2932AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Renal trauma is the most frequent genitourinary trauma. Current guidelines recommend bed-rest in patients with renal trauma. However, there is no data in the literature to support this recommendation. The aim of this study was to assess the impact of early vs. delayed mobilization on the outcomes of renal trauma management. METHODS A retrospective multicenter study was conducted including all patients treated for renal trauma in 17 hospitals between 2005 et 2015. Iatrogenic trauma were excluded. Patients were divided in two groups : early mobilization (within the first 24 hours after admission, EM) and delayed mobilization (> 24 hours after admission, DM). The choice of the day of mobilization was made on an individual basis, according to local protocols and was not standardized. Patients' characteristics and outcomes were compared between the two groups RESULTS Out of 1799 patients, data regarding the day of mobilization was found in the medical records of 918 patients : 153 in the EM group and 765 in the DM group. There was less grade 4 of 5 trauma in the EM group (11.4% vs. 32.3%; p<0.0001), less concomittant solid organ injuries (19.1% vs. 49.7%; p<0.0001) and less concomittant bone injuries (18.7% vs. 45.8%; p=0.0001). The rates of transfusion and of surgery/interventional radiology after mobilization were similar in both groups (2% vs. 2.4%; p=0.99 and 2.7% vs. 4.1%; p=0.49 respectively). In contrast, interval between admission and return of bowel function was shorter in the EM group (0.7 vs. 4 days; p<0.0001) as was lenght of hospital stay (4.1 vs. 14.8 days ; p<0.0001)In multivariate analysis, EM was not associated with the risk of surgery/interventional radiology nor with transfusion after mobilization (OR=0.86; p=0.82 et OR=1.1; p=0.87 respectively). In contrast, EM remained associated with shorter time to return of bowel function (ß=0.35; p<0.0001) and shorter length of stay (ß=0.17; p<0.0001). CONCLUSIONS In this multicenter study, early mobilization after renal trauma did not increase the risk of secondary transfusion nor secondary surgery/interventional radiology an was associated with shorter time to return of bowel function and length of stay. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1257 Advertisement Copyright & Permissions© 2017MetricsAuthor Information benoit peyronnet More articles by this author jonathan olivier More articles by this author marine hutin More articles by this author francois-xavier nouhaud More articles by this author quentin langouet More articles by this author marina ruggiero More articles by this author ines dominique More articles by this author lucas freton More articles by this author clémentine millet More articles by this author sebastien bergerat More articles by this author paul panayotopoulos More articles by this author reem betari More articles by this author xavier matillon More articles by this author ala chebbi More articles by this author thomas caes More articles by this author pierre-marie patard More articles by this author nicolas szabla More articles by this author nicolas brichart More articles by this author axelle bohem More articles by this author laura sabourin More articles by this author kerem guleryuz More articles by this author charles dariane More articles by this author cedric lebacle More articles by this author jerome rizk More articles by this author alexandre gryn More articles by this author xavier rod More articles by this author francois-xavier madec More articles by this author gaelle fiard More articles by this author benjamin pradére More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...